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Membership Form
Please fill in the following information so that the membership committee can know you better.
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I am a Singapore Citizen *
(membership is only open to Singapore Citizens)
Required
I am 18 years' old and above *
Required
Surname/ Family Name
First/ Given Name *
Residential Address *
Please write your address in the same format as your NRIC address. Write your postal code in the next line.
Postal Code *
Email Address *
Please check your email again before you proceed to the next item.
I can be contacted at the mobile telephone below *
Please check your telephone carefully. This is required only for us to get in touch with you.
Other Number (optional)
Please check your telephone carefully
Gender *
Race *
Date of Birth
MM
/
DD
/
YYYY
Marital Status
Clear selection
Main Religion
Clear selection
Highest Educational Level *
Current Employment Status *
Political Experience *
Have you been or are you now a member of any political party in Singapore?
If your answer is Yes to the above, please tell us the party or parties (please tick all that apply)
DECLARATION (please tick all the boxes) *
The annual ordinary membership fee is S$10. We shall provide you with more information after your application is accepted.
Required
Signature (please write your name if you are signing online) *
A reminder: I have carefully checked through all the entries above and they do not have errors.
Date *
MM
/
DD
/
YYYY
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